Active NPI
Dialysis Newco Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Louisville, KY
National Provider Identifier
1124301601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 300115
- Legal business name
- DIALYSIS NEWCO INC
- Practice address
- 635 S 3Rd St
Louisville, KY 40202-2401 - Phone
- (502) 561-1314
- Fax
- (502) 561-1840
- NPI assigned
- Sep 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tammy J. Baker
- Title
- Managed Care Coordinator
- Phone
- (615) 234-1188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 300115 | KY | Primary |
Addresses
Primary practice location
635 S 3Rd St
Louisville, KY 40202-2401
Mailing address
424 Church St
Suite 1900
Nashville, TN 37219-2301
Phone (615) 234-1188
Other names 1
- DSI Louisville Renal Center
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Viera, FL
- NPI 1982970554
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317340800000",
"number": "1124301601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 CHURCH ST",
"address_2": "SUITE 1900",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372192301",
"telephone_number": "615-234-1188",
"fax_number": "615-234-9526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 S 3RD ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022401",
"telephone_number": "502-561-1314",
"fax_number": "502-561-1840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIALYSIS NEWCO INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-30",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "MANAGED CARE COORDINATOR",
"authorized_official_telephone_number": "615-234-1188",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "KY",
"license": "300115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DSI Louisville Renal Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.